Growing pains in children: epidemiological analysis in a Mediterranean population

Angelos Kaspiris1, Chrisi Zafiropoulou

  • 1Department of Trauma and Orthopaedics, Thriasio General Hospital-NHS, Magoula 19600, Attica, Greece. angkaspiris@upatras.gr <angkaspiris@upatras.gr>

Joint Bone Spine
|October 2, 2009
PubMed

Insights

Recurrent lower limb pains in children, often called growing pains, are common but poorly understood. This study suggests they may be linked to overuse syndromes from physical activity, not anatomical issues.

Area of Science:

  • Pediatrics
  • Musculoskeletal Disorders
  • Epidemiology

Background:

  • Recurrent lower limb pains, commonly known as growing pains, are the most frequent cause of musculoskeletal pain in children.
  • Despite extensive research, the exact nature and etiology of growing pains remain unclear, with various hypotheses proposed.

Purpose of the Study:

  • To investigate the epidemiological profile of children experiencing growing pains.
  • To examine management strategies employed by parents and medical professionals.
  • To correlate existing theories with epidemiological findings to validate or refute them.

Main Methods:

  • A retrospective study involving 532 children aged 4-12.
  • Data collected via semi-structured interviews (open and closed questions).
  • Analysis focused on lower limb pain occurrences in the 12 months preceding the visit.

Main Results:

  • Growing pains were identified in 130 children (24.5% frequency), meeting Petersen's criteria.
  • Pains predominantly occurred after intensive physical exercise.
  • Children's Body Mass Index (BMI) was not linked to the development of growing pains.
  • Primary management involved limb massage, followed by anti-inflammatory agents.

Conclusions:

  • Growing pains are a benign condition with an unknown pathophysiological mechanism.
  • The study refutes a strong link to anatomical or orthopedic disorders.
  • The high incidence after physical exercise suggests a potential lower extremity overuse syndrome, aligning with existing literature.
Abstract

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